Chapter 5J - Designing programs for an Injured Athlete During the Reconditioning period Flashcards
Explain the Inflammatory response phase for tissue healing and reconditioning.
This phase is characterized by pain, swelling, redness, increases inflammatory cells, and reduced collagen production; it typically lasts two to six days. Inflammation starts immediately after injury and can occur both locally at the site of injury and systemically.
What are the treatment goals of the inflammatory period:
The suggested treatment to minimize inflammation and decrease pain is PRICE. E-stim may be used as a treatment. Maintenance of the function of the cardiovascular system and the strength, endurance, anExplaind power of the musculoskeletal tissues is important.
Explain some exercise strategies of the inflammatory response phase.
The injured area should get rest. Exercises that do not directly involve the injured area can be performed after the strength and conditioning professional discusses the exercises that are indicated and contraindicated for the injury with the athletic trainer.
Explain the fibroblastic repair phase of tissue healing and reconditioning.
The phase is characterized by inflammatory cell activity, collagen-fiber production, and organization. IT starts after inflammation materials have been removed and may last up to 2 months. The breakdown of nonviable tissue (catabolism) due to injury occurs and nonviable tissue is replaced.
The increase the integrity of the tissue, scar tissue and capillaries form in the injured area with type III collagen being produced and put down transversely along injured structure.
What are the treatment goals of the fibroblastic repair phase.
The suggested treatment for this phase is to continue reduce inflammation, minimize muscle atrophy, maintain ROM (minimize contractures and adhesion formation), and improve strength and function. Minimizing joint deterioration and muscle atrophy of the injured area is the treatment goal.
Explain the treatment goals of the fibroblastic repair phase.
Under the consultation of a team doc or athletic trainer, submax isometric exercises can be performed if the athlete is free of pain. Concentric and eccentric exercises are fine. Proprioceptive exercises can be used to improve NM control. These include completing common exercises such as push-ups on uneven surfaces and using equipment that create uneven surfaces for training.
Note that active resistance exercises focused on the injured tissue should NOT be performed in order to protect the fragile new tissue.
Explain the maturation-remodeling phase of recovery.
The final phase of tissue repair is characterized by stronger type I collagen getting laid down longitudinally to increase the strength of the new tissue. Tissue remodeling can continue for more than one year after injury.
The realignment and remodeling of the collagen fibers due to increased load and hypertrophy cause the stressed collagen fibers to realign along the maximally efficient lines of stress, thus allowing the tissue to become more organized and have increased strength.
Explain the treatment goals during the maturation-remodeling phase.
The treatment goals are to return back to prior level of function, regain full ROM, and go back to the sport activity. Sport specific exercises can be added in order to apply progressive stress to the injured area.
Explain the exercise strategies for the maturation-remodeling phase.
Functional sport specific rehab and reconditioning exercises that mimic the demands of the sport should be introduced along with functionally specific strengthening exercises that are consistent with the speed requirement of the sport.
Examples of such exercises include closed kinetic chain exercises, joint angle specific exercises, more challenging NM control exercises and exercises that require velocity specific muscle activity.
Explain the Delorme program and Oxford Program to help with program design for rehab and reconditioning.
Delorme program - uses a pyramid style design using 3 sets of 10 reps that progresses from light to heavy loads.
Oxford program - Very similar to Delorme’s program except the progression of the 3 sets goes from heavy to light loads.
Explain the Daily adjustable resistive exercise
DARPE consists of 4 sets with a variable number of reps.
set 1- ten reps at 50% of estimated 1RM
set 2 - 6 reps at 75% of estimated 1RM
set 3- the max number of reps that can be completed at 100% or 1RM
set 4 - performance during the 3rd set determines adjustment to be made to the resistance for the final set.
